Evidence map›Paper›PMID 42688411›Full record

ArticleFrontiers in fungal biology2026

Detection of TR34/L98H pan-azole-resistant

Bianca Gomes, Marta Dias, Renata Cervantes, Lídia Gonçalves, Elisabete Carolino, Miguel J N Ramos, Mónica Nunes, Ricardo Dias, Carla Viegas

Abstract read
In one paragraph

Article in Frontiers in fungal biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Bianca GomesCE3C-Center for Ecology, Evolution and Environmental Change, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal.
Marta DiasH&TRC - Health & Technology Research Center, ESSL - Escola Superior de Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisbon, Portugal.
Renata CervantesH&TRC - Health & Technology Research Center, ESSL - Escola Superior de Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisbon, Portugal.
Lídia GonçalvesResearch Institute for Medicines (iMed.ULisboa), Faculty of Pharmacy, Universidade de Lisboa, Lisbon, Portugal.
Elisabete CarolinoH&TRC - Health & Technology Research Center, ESSL - Escola Superior de Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisbon, Portugal.
Miguel J N RamosCE3C-Center for Ecology, Evolution and Environmental Change, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal.
Mónica NunesCE3C-Center for Ecology, Evolution and Environmental Change, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal.
Ricardo DiasCE3C-Center for Ecology, Evolution and Environmental Change, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal.
Carla ViegasH&TRC - Health & Technology Research Center, ESSL - Escola Superior de Saúde de Lisboa, Instituto Politécnico de Lisboa, Lisbon, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Poultry farms have been recognized as environments prone to fungal contamination. However, the occurrence of azole-resistant Aspergillus fumigatus and its cytotoxic potential remain insufficiently characterized. This study aimed to characterize the occurrence, cytotoxic potential, and azole-resistance profile ofAspergillus section Fumigati in poultry farms. Methods: A total of 420 samples, including air (n = 47), electrostatic dust cloths (n = 87), bedding (n = 87), feed (n = 95), swabs (n = 87), workers' masks (n = 2), and broiler breast (n = 15), were obtained. Fungal characterization was performed through culture-based methods (27 °C and 37 °C), followed by azole resistance screening according to EUCAST guidelines. Resistant isolates were subjected to whole-genome sequencing and a targeted analysis of cyp51A mutations. The cytotoxicity potential of fungal isolates and environmental samples was evaluated using selected cell lines representing respiratory organs (human alveolar [A549]) and detoxification organs (swinekidney [SK]/hepatocellular carcinoma [HepG2]). Results: Seven putative Aspergillus fumigatus isolates exhibited pan-azole resistance (MICs: ≥ 2 mg/L ITR/VOR; ≥ 1mg/L for POS). Four isolates carried the TR34/L98H mutation and were recovered from bedding (n = 3) and air (n = 1), suggesting the presence of resistant A. fumigatus in poultry farm matrices. Although 12% of isolates induced toxicity on both cell lines (17/145), no significant association was observed between isolate cytotoxicity and environmental sample toxicity, suggesting that additional biological and chemical components may contribute to the overall toxicological profile of farm environments. Discusion: The study highlights the occurrence of azole-resistant A. fumigatus in poultry farms and support integrated surveillance approaches addressing antifungal resistance and environmental exposure risks in poultry production.

Indexed as

Aspergillus fumigatusazole-resistance profilebedding materialcyp51A gene mutationscytotoxic potentialOne Health

Identifiers

PMID42688411
PMCPMC13534077

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.